{"id":5962,"date":"2014-06-19T15:58:28","date_gmt":"2014-06-19T19:58:28","guid":{"rendered":"http:\/\/www.nbrhc.on.ca\/?page_id=5962"},"modified":"2021-10-12T09:20:12","modified_gmt":"2021-10-12T13:20:12","slug":"formulaires-pour-les-fournisseuses-et-fournisseurs-de-soins-de-sante","status":"publish","type":"page","link":"https:\/\/nbrhc.on.ca\/fr\/formulaires-pour-les-fournisseuses-et-fournisseurs-de-soins-de-sante\/","title":{"rendered":"Formulaires pour les fournisseuses et fournisseurs de soins de sant\u00e9"},"content":{"rendered":"<p><!--\nLes formulaires \u00e9lectroniques ci-dessous \u00a0servent \u00e0 faire des demandes de services, d\u2019examens et d\u2019analyses\n\nIls sont destin\u00e9s <span style=\"text-decoration: underline;\">uniquement aux fournisseurs de soins de sant\u00e9<\/span>.\n\n\n<h2><span style=\"text-decoration: underline;\"><strong>Formulaires des services de soins actifs<\/strong><\/span><\/h2>\n\n\n\n\n<table style=\"width: 700px;\" border=\"1\" width=\"529\" cellspacing=\"0\" cellpadding=\"3\">\n\n\n<thead>\n\n\n<tr>\n\n\n<th class=\"header\" valign=\"top\" width=\"352\">\n\n\n<h3><strong>Nom<\/strong><\/h3>\n\n\n<\/th>\n\n\n\n\n<th class=\"header\" valign=\"top\" width=\"70\">\n\n\n<h3><strong>Num\u00e9ro<\/strong><\/h3>\n\n\n<\/th>\n\n\n\n\n<th class=\"header\" valign=\"top\" width=\"90\">\n\n\n<h3><strong>Langue<\/strong><\/h3>\n\n\n<\/th>\n\n\n<\/tr>\n\n\n<\/thead>\n\n\n\n\n<tbody>\n\n\n<tr>\n\n\n<td><strong><a href=\"http:\/\/www.nbrhc.on.ca\/wp-content\/uploads\/2016\/03\/RHC954-EN-February-2016.pdf\" target=\"_blank\" rel=\"noopener\">24 Hour Urine Collection Instructions<\/a><\/strong><\/td>\n\n\n\n\n<td style=\"text-align: center;\">RHC 954<\/td>\n\n\n\n\n<td style=\"text-align: center;\">English<\/td>\n\n\n<\/tr>\n\n\n\n\n<tr>\n\n\n<td><strong><a title=\"Bone Mineral Density Requisition\" href=\"http:\/\/www.nbrhc.on.ca\/wp-content\/uploads\/2014\/06\/RHC1946-January-2014.pdf\" target=\"_blank\" rel=\"noopener\">Bone Mineral Density Requisition<\/a><\/strong><\/td>\n\n\n\n\n<td style=\"text-align: center;\">RHC 1946<\/td>\n\n\n\n\n<td style=\"text-align: center;\">English &amp; French<\/td>\n\n\n<\/tr>\n\n\n\n\n<tr>\n\n\n<td><strong><a href=\"http:\/\/www.nbrhc.on.ca\/wp-content\/uploads\/2014\/06\/RHC1107-August-2015.pdf\" target=\"_blank\" rel=\"noopener\">Cardiorespiratory Services Requisition\u00a0(ECG)<\/a><\/strong><\/td>\n\n\n\n\n<td style=\"text-align: center;\">RHC 1107<\/td>\n\n\n\n\n<td style=\"text-align: center;\">English<\/td>\n\n\n<\/tr>\n\n\n\n\n<tr>\n\n\n<td><strong><a href=\"http:\/\/www.nbrhc.on.ca\/wp-content\/uploads\/2014\/07\/RHC2210.pdf\" target=\"_blank\" rel=\"noopener\">Chronic Obstructive Pulmonary Disease (COPD)<\/a><\/strong><\/td>\n\n\n\n\n<td style=\"text-align: center;\">RHC 2210<\/td>\n\n\n\n\n<td style=\"text-align: center;\">English<\/td>\n\n\n<\/tr>\n\n\n\n\n<tr>\n\n\n<td><strong><a href=\"http:\/\/www.nbrhc.on.ca\/wp-content\/uploads\/2014\/07\/RHC427-February-2014.pdf\" target=\"_blank\" rel=\"noopener\">Colorectal Cancer Screening Clinic Referral Form<\/a><\/strong><\/td>\n\n\n\n\n<td style=\"text-align: center;\">RHC 427<\/td>\n\n\n\n\n<td style=\"text-align: center;\">English<\/td>\n\n\n<\/tr>\n\n\n\n\n<tr>\n\n\n<td><strong><a href=\"http:\/\/www.nbrhc.on.ca\/wp-content\/uploads\/2015\/11\/RHC2193-October-2015.doc\" target=\"_blank\" rel=\"noopener\">Chemistry Downtime Results<\/a><\/strong><\/td>\n\n\n\n\n<td style=\"text-align: center;\">RHC 2193<\/td>\n\n\n\n\n<td style=\"text-align: center;\">English<\/td>\n\n\n<\/tr>\n\n\n\n\n<tr>\n\n\n<td><strong><a href=\"http:\/\/www.nbrhc.on.ca\/wp-content\/uploads\/2014\/07\/RHC2210.pdf\" target=\"_blank\" rel=\"noopener\">Chronic Obstructive Pulmonary Disease (COPD)<\/a><\/strong><\/td>\n\n\n\n\n<td style=\"text-align: center;\">RHC 2210<\/td>\n\n\n\n\n<td style=\"text-align: center;\">English<\/td>\n\n\n<\/tr>\n\n\n\n\n<tr>\n\n\n<td><strong><a href=\"http:\/\/www.nbrhc.on.ca\/wp-content\/uploads\/2015\/03\/RHC2425.pdf\" target=\"_blank\" rel=\"noopener\">Cytology Requisition<\/a><\/strong><\/td>\n\n\n\n\n<td style=\"text-align: center;\">RHC 2425<\/td>\n\n\n\n\n<td style=\"text-align: center;\">English<\/td>\n\n\n<\/tr>\n\n\n\n\n<tr>\n\n\n<td><strong><a href=\"http:\/\/www.nbrhc.on.ca\/wp-content\/uploads\/2014\/10\/2367-August-2014.pdf\">Dermatology Consult <\/a><\/strong><\/td>\n\n\n\n\n<td style=\"text-align: center;\">RHC 2367<\/td>\n\n\n\n\n<td style=\"text-align: center;\">English<\/td>\n\n\n<\/tr>\n\n\n\n\n<tr>\n\n\n<td><strong><a href=\"http:\/\/www.nbrhc.on.ca\/wp-content\/uploads\/2014\/07\/RHC1155-Rev-Feb-2011.pdf\" target=\"_blank\" rel=\"noopener\">Electroencephalograph Requisition<\/a><\/strong><\/td>\n\n\n\n\n<td style=\"text-align: center;\">RHC 1155<\/td>\n\n\n\n\n<td style=\"text-align: center;\">English<\/td>\n\n\n<\/tr>\n\n\n\n\n<tr>\n\n\n<td><strong><a href=\"http:\/\/www.nbrhc.on.ca\/wp-content\/uploads\/2014\/07\/RHC616-January-2014.pdf\" target=\"_blank\" rel=\"noopener\">Infant Hearing Program Hospital Screening Form<\/a><\/strong><\/td>\n\n\n\n\n<td style=\"text-align: center;\">RHC 616<\/td>\n\n\n\n\n<td style=\"text-align: center;\">English<\/td>\n\n\n<\/tr>\n\n\n\n\n<tr>\n\n\n<td><strong><a href=\"http:\/\/www.nbrhc.on.ca\/wp-content\/uploads\/2016\/03\/RHC271-EN-February-2016.pdf\" target=\"_blank\" rel=\"noopener\">Midstream Urine Collection Instructions<\/a><\/strong><\/td>\n\n\n\n\n<td style=\"text-align: center;\">RHC 271<\/td>\n\n\n\n\n<td style=\"text-align: center;\">English<\/td>\n\n\n<\/tr>\n\n\n\n\n<tr>\n\n\n<td><strong><a href=\"http:\/\/www.nbrhc.on.ca\/wp-content\/uploads\/2016\/03\/RHC952-February-2016.pdf\" target=\"_blank\" rel=\"noopener\">Midstream Urine Collection Instructions for Cytology<\/a><\/strong><\/td>\n\n\n\n\n<td style=\"text-align: center;\">RHC 952<\/td>\n\n\n\n\n<td style=\"text-align: center;\">English<\/td>\n\n\n<\/tr>\n\n\n\n\n<tr>\n\n\n<td><strong><a href=\"http:\/\/www.nbrhc.on.ca\/wp-content\/uploads\/2014\/07\/RHC1242E-RevMay2012.pdf\" target=\"_blank\" rel=\"noopener\">MRI Hyoscine Butylbromide (Buscopan)\/Glycagon Screening Form<\/a><\/strong><\/td>\n\n\n\n\n<td style=\"text-align: center;\">RHC 1242<\/td>\n\n\n\n\n<td style=\"text-align: center;\">English<\/td>\n\n\n<\/tr>\n\n\n\n\n<tr>\n\n\n<td><strong><a href=\"http:\/\/www.nbrhc.on.ca\/wp-content\/uploads\/2014\/07\/RHC1243-February-2014.pdf\" target=\"_blank\" rel=\"noopener\">MRI Requisition<\/a><\/strong><\/td>\n\n\n\n\n<td style=\"text-align: center;\">RHC 1243<\/td>\n\n\n\n\n<td style=\"text-align: center;\">English<\/td>\n\n\n<\/tr>\n\n\n\n\n<tr>\n\n\n<td><strong><a href=\"http:\/\/www.nbrhc.on.ca\/wp-content\/uploads\/2014\/07\/RHC1241E-F.pdf\" target=\"_blank\" rel=\"noopener\">MRI Screening Information Form<\/a><\/strong><\/td>\n\n\n\n\n<td style=\"text-align: center;\">RHC 1241<\/td>\n\n\n\n\n<td style=\"text-align: center;\">English &amp; French<\/td>\n\n\n<\/tr>\n\n\n\n\n<tr>\n\n\n<td><strong><a href=\"http:\/\/www.nbrhc.on.ca\/wp-content\/uploads\/2014\/07\/NEJACHipandKneeReplacementSeptember2012.pdf\" target=\"_blank\" rel=\"noopener\">North East Hip and Knee Replacement - Referral Form<\/a><\/strong><\/td>\n\n\n\n\n<td style=\"text-align: center;\">No number<\/td>\n\n\n\n\n<td style=\"text-align: center;\">English<\/td>\n\n\n<\/tr>\n\n\n\n\n<tr>\n\n\n<td><strong><a href=\"http:\/\/www.nbrhc.on.ca\/wp-content\/uploads\/2014\/07\/RHC1109-January-2014.pdf\" target=\"_blank\" rel=\"noopener\">Nuclear Medicine Requisition<\/a><\/strong><\/td>\n\n\n\n\n<td style=\"text-align: center;\">RHC 1109<\/td>\n\n\n\n\n<td style=\"text-align: center;\">English<\/td>\n\n\n<\/tr>\n\n\n\n\n<tr>\n\n\n<td><strong><a href=\"http:\/\/www.nbrhc.on.ca\/wp-content\/uploads\/2014\/07\/RHC607-January-2014.pdf\" target=\"_blank\" rel=\"noopener\">Outpatient CT Scan \u2013 Consultation Request<\/a><\/strong><\/td>\n\n\n\n\n<td style=\"text-align: center;\">RHC 607<\/td>\n\n\n\n\n<td style=\"text-align: center;\">English<\/td>\n\n\n<\/tr>\n\n\n\n\n<tr>\n\n\n<td><strong><a href=\"http:\/\/www.nbrhc.on.ca\/wp-content\/uploads\/2014\/07\/RHC2209.pdf\" target=\"_blank\" rel=\"noopener\">Outpatient Psychiatry Clinic Consultation<\/a><\/strong><\/td>\n\n\n\n\n<td style=\"text-align: center;\">RHC 2209<\/td>\n\n\n\n\n<td style=\"text-align: center;\">English<\/td>\n\n\n<\/tr>\n\n\n\n\n<tr>\n\n\n<td><strong><a href=\"http:\/\/www.nbrhc.on.ca\/wp-content\/uploads\/2014\/07\/RHC204-January-2014.pdf\" target=\"_blank\" rel=\"noopener\">Outpatient X-Ray Consultation<\/a><\/strong><\/td>\n\n\n\n\n<td style=\"text-align: center;\">RHC 204<\/td>\n\n\n\n\n<td style=\"text-align: center;\">English<\/td>\n\n\n<\/tr>\n\n\n\n\n<tr>\n\n\n<td><strong><a href=\"http:\/\/www.nbrhc.on.ca\/wp-content\/uploads\/2014\/07\/RHC2129-November-2013.pdf\" target=\"_blank\" rel=\"noopener\">Pediatric Acute Mental Health Admission Referral<\/a><\/strong><\/td>\n\n\n\n\n<td style=\"text-align: center;\">RHC 2129<\/td>\n\n\n\n\n<td style=\"text-align: center;\">English<\/td>\n\n\n<\/tr>\n\n\n\n\n<tr>\n\n\n<td><strong><a href=\"http:\/\/www.nbrhc.on.ca\/wp-content\/uploads\/2014\/07\/RHC-1845Rev-Sep2013.pdf\" target=\"_blank\" rel=\"noopener\">Pediatric Procedural Sedation<\/a><\/strong><\/td>\n\n\n\n\n<td style=\"text-align: center;\">RHC 1845<\/td>\n\n\n\n\n<td style=\"text-align: center;\">English<\/td>\n\n\n<\/tr>\n\n\n\n\n<tr>\n\n\n<td><strong><a href=\"http:\/\/www.nbrhc.on.ca\/wp-content\/uploads\/2014\/07\/RHC2026-EFFECTIVE-January-2-2014-.pdf\" target=\"_blank\" rel=\"noopener\">Pre-Operative Questionnaire<\/a><\/strong><\/td>\n\n\n\n\n<td style=\"text-align: center;\">RHC 2026<\/td>\n\n\n\n\n<td style=\"text-align: center;\">English<\/td>\n\n\n<\/tr>\n\n\n\n\n<tr>\n\n\n<td><strong><a href=\"http:\/\/www.nbrhc.on.ca\/wp-content\/uploads\/2014\/07\/RHC2026-fr-EFFECTIVE-January-2-2014.pdf\" target=\"_blank\" rel=\"noopener\">Pre-Operative Questionnaire<\/a><\/strong><\/td>\n\n\n\n\n<td style=\"text-align: center;\">RHC 2026<\/td>\n\n\n\n\n<td style=\"text-align: center;\">French<\/td>\n\n\n<\/tr>\n\n\n\n\n<tr>\n\n\n<td><strong><a href=\"http:\/\/www.nbrhc.on.ca\/wp-content\/uploads\/2014\/07\/RHC1140EFRev-August2013.pdf\" target=\"_blank\" rel=\"noopener\">Pulmonary Function Referral<\/a><\/strong><\/td>\n\n\n\n\n<td style=\"text-align: center;\">RHC 1140<\/td>\n\n\n\n\n<td style=\"text-align: center;\">English &amp; French<\/td>\n\n\n<\/tr>\n\n\n\n\n<tr>\n\n\n<td><strong><a href=\"http:\/\/www.nbrhc.on.ca\/wp-content\/uploads\/2014\/07\/RHC1503RevOct2012_000.pdf\" target=\"_blank\" rel=\"noopener\">Referral for Outpatient Rehabilitation Services<\/a><\/strong><\/td>\n\n\n\n\n<td style=\"text-align: center;\">RHC 1503<\/td>\n\n\n\n\n<td style=\"text-align: center;\">English<\/td>\n\n\n<\/tr>\n\n\n\n\n<tr>\n\n\n<td><strong><a href=\"http:\/\/www.nbrhc.on.ca\/wp-content\/uploads\/2016\/03\/RHC270-EN-February-2016-3.pdf\" target=\"_blank\" rel=\"noopener\">Semen Fluid Analysis Collection Instructions<\/a><\/strong><\/td>\n\n\n\n\n<td style=\"text-align: center;\">RHC 270<\/td>\n\n\n\n\n<td style=\"text-align: center;\">English<\/td>\n\n\n<\/tr>\n\n\n\n\n<tr>\n\n\n<td><strong><a href=\"http:\/\/www.nbrhc.on.ca\/wp-content\/uploads\/2016\/03\/RHC2039-EN-February-2016.pdf\" target=\"_blank\" rel=\"noopener\">Sputum Collection Instructions for Culture and Sensitivity<\/a><\/strong><\/td>\n\n\n\n\n<td style=\"text-align: center;\">RHC 2039<\/td>\n\n\n\n\n<td style=\"text-align: center;\">English<\/td>\n\n\n<\/tr>\n\n\n\n\n<tr>\n\n\n<td><strong><a href=\"http:\/\/www.nbrhc.on.ca\/wp-content\/uploads\/2016\/03\/RHC971-February-2016.pdf\" target=\"_blank\" rel=\"noopener\">Sputum Collection Instructions for Cytology<\/a><\/strong><\/td>\n\n\n\n\n<td style=\"text-align: center;\">RHC 971<\/td>\n\n\n\n\n<td style=\"text-align: center;\">English &amp; French<\/td>\n\n\n<\/tr>\n\n\n\n\n<tr>\n\n\n<td><strong><a href=\"http:\/\/www.nbrhc.on.ca\/wp-content\/uploads\/2016\/03\/RHC860-EN-February-2016.pdf\" target=\"_blank\" rel=\"noopener\">Stool Collection for C&amp;S (Cary Blair with Indicator)<\/a><\/strong><\/td>\n\n\n\n\n<td style=\"text-align: center;\">RHC 860<\/td>\n\n\n\n\n<td style=\"text-align: center;\">English<\/td>\n\n\n<\/tr>\n\n\n\n\n<tr>\n\n\n<td><strong><a href=\"http:\/\/www.nbrhc.on.ca\/wp-content\/uploads\/2016\/03\/RHC975-EN-February-2016.pdf\" target=\"_blank\" rel=\"noopener\">Stool Collection Instructions for Clostridium Difficile<\/a><\/strong><\/td>\n\n\n\n\n<td style=\"text-align: center;\">RHC 975<\/td>\n\n\n\n\n<td style=\"text-align: center;\">English<\/td>\n\n\n<\/tr>\n\n\n\n\n<tr>\n\n\n<td><strong><a href=\"http:\/\/www.nbrhc.on.ca\/wp-content\/uploads\/2016\/03\/RHC2040-EN-February-2016.pdf\" target=\"_blank\" rel=\"noopener\">Stool Collection Instructions for Occult Blood<\/a><\/strong><\/td>\n\n\n\n\n<td style=\"text-align: center;\">RHC 2040<\/td>\n\n\n\n\n<td style=\"text-align: center;\">English<\/td>\n\n\n<\/tr>\n\n\n\n\n<tr>\n\n\n<td><strong><a href=\"\/wp-content\/uploads\/2014\/06\/307-April-2015.pdf\" target=\"_blank\" rel=\"noopener\">Stroke Prevention Clinic Referral<\/a>\u00a0<\/strong><\/td>\n\n\n\n\n<td style=\"text-align: center;\">RHC 307<\/td>\n\n\n\n\n<td style=\"text-align: center;\">English<\/td>\n\n\n<\/tr>\n\n\n\n\n<tr>\n\n\n<td><strong><a href=\"http:\/\/www.nbrhc.on.ca\/wp-content\/uploads\/2014\/07\/RHC871.pdf\" target=\"_blank\" rel=\"noopener\">Surgical Information for Surgeon\/Anesthesiologist\/Surgical Assistants<\/a><\/strong><\/td>\n\n\n\n\n<td style=\"text-align: center;\">RHC 871<\/td>\n\n\n\n\n<td style=\"text-align: center;\">English<\/td>\n\n\n<\/tr>\n\n\n\n\n<tr>\n\n\n<td><strong><a href=\"http:\/\/www.nbrhc.on.ca\/wp-content\/uploads\/2015\/03\/RHC691-February-2015.pdf\" target=\"_blank\" rel=\"noopener\">Histology - Tissue Requisition<\/a><\/strong><\/td>\n\n\n\n\n<td style=\"text-align: center;\">RHC 691<\/td>\n\n\n\n\n<td style=\"text-align: center;\">English<\/td>\n\n\n<\/tr>\n\n\n<\/tbody>\n\n\n<\/table>\n\n\n\n\n\n<hr \/>\n\n\n\n\n\n<h2 id=\"MH\"><span style=\"text-decoration: underline;\"><strong>Formulaires des programmes et services sant\u00e9 mentale<\/strong><\/span><\/h2>\n\n\n\n\n<table style=\"width: 700px;\" border=\"1\" cellspacing=\"0\" cellpadding=\"3\">\n\n\n<thead>\n\n\n<tr>\n\n\n<th class=\"header headerSortDown\" valign=\"top\" width=\"352\">\n\n\n<h3><strong>Nom<\/strong><\/h3>\n\n\n<\/th>\n\n\n\n\n<th class=\"header\" valign=\"top\" width=\"70\">\n\n\n<h3><strong>Num\u00e9ro<\/strong><\/h3>\n\n\n<\/th>\n\n\n\n\n<th class=\"header\" valign=\"top\" width=\"90\">\n\n\n<h3><strong>Langue<\/strong><\/h3>\n\n\n<\/th>\n\n\n<\/tr>\n\n\n\n\n<tr>\n\n\n<td><strong><a href=\"http:\/\/www.nbrhc.on.ca\/wp-content\/uploads\/2014\/07\/RHC1646-Rev-January-2014.pdf\" target=\"_blank\" rel=\"noopener\">Nipissing District Central Intake Referral Form<\/a><\/strong><\/td>\n\n\n\n\n<td style=\"text-align: center;\">RHC 1646<\/td>\n\n\n\n\n<td style=\"text-align: center;\">English<\/td>\n\n\n<\/tr>\n\n\n<\/thead>\n\n\n\n\n<tbody>\n\n\n<tr>\n\n\n<td><strong><a href=\"http:\/\/www.nbrhc.on.ca\/wp-content\/uploads\/2014\/07\/RHC-1659-December-2013.pdf\" target=\"_blank\" rel=\"noopener\">Community Crisis Outreach - Referral<\/a><\/strong><\/td>\n\n\n\n\n<td style=\"text-align: center;\">RHC 1659<\/td>\n\n\n\n\n<td style=\"text-align: center;\">English<\/td>\n\n\n<\/tr>\n\n\n\n\n<tr>\n\n\n<td><strong style=\"color: #000000;\"><a href=\"http:\/\/www.nbrhc.on.ca\/wp-content\/uploads\/2014\/08\/RHC1646-1651-NDSAP-Admission-Package-August-2014.pdf\" target=\"_blank\" rel=\"noopener\">Nipissing Detoxification and Substance Abuse Programs (NDSAP) - Admission Package<\/a><\/strong><\/td>\n\n\n\n\n<td style=\"text-align: center;\">RHC 1646 &amp; RHC 1651<\/td>\n\n\n\n\n<td style=\"text-align: center;\">English<\/td>\n\n\n<\/tr>\n\n\n\n\n<tr>\n\n\n<td><strong><a href=\"http:\/\/www.nbrhc.on.ca\/wp-content\/uploads\/2014\/07\/RHC817-June2013_001.pdf\" target=\"_blank\" rel=\"noopener\">Regional Mental Health Central Referral form<\/a><\/strong><\/td>\n\n\n\n\n<td style=\"text-align: center;\">RHC 817<\/td>\n\n\n\n\n<td style=\"text-align: center;\">English<\/td>\n\n\n<\/tr>\n\n\n<\/tbody>\n\n\n<\/table>\n\n\n--><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":17,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"open","ping_status":"open","template":"","meta":{"_acf_changed":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":"","_links_to":"","_links_to_target":"","_wp_rev_ctl_limit":""},"tags":[1556,1555,1927,1559,1577,1591,1565,1575,1571,1573,1593,1607,1611,1609,1587,1557,1589,2654,1583,1597,1585,2655,1581,1563,1875,2656,2657,2658,1561,1579,1567,1876,1613,2659,1599,1569,2660,1595,2661,1560,1578,1592,1566,1576,1572,1574,1594,1608,1612,1610,1588,1558,1590,2662,1584,1598,1586,2663,1582,1564,1604,1602,1606,1877,2664,2665,1562,1580,1568,1878,1614,2666,1600,1570,2667,1596,2668],"class_list":["post-5962","page","type-page","status-publish","hentry","tag-formulaires-des-programmes-et-services-sante-mentale","tag-formulaires-des-services-de-soins-actifs","tag-requesitions","tag-rhc-1107-fr","tag-rhc-1109-fr","tag-rhc-1140-fr","tag-rhc-1155-fr","tag-rhc-1241-fr","tag-rhc-1242-fr","tag-rhc-1243-fr","tag-rhc-1503-fr","tag-rhc-1646-fr","tag-rhc-1651-fr","tag-rhc-1659-fr","tag-rhc-1845-fr","tag-rhc-1946-fr","tag-rhc-2026-fr","tag-rhc-2039-fr","tag-rhc-204-fr","tag-rhc-2040-fr","tag-rhc-2129-fr","tag-rhc-2193-fr","tag-rhc-2209-fr","tag-rhc-2210-fr","tag-rhc-2425-fr","tag-rhc-270-fr","tag-rhc-271-fr","tag-rhc-307-fr","tag-rhc-427-fr","tag-rhc-607-fr","tag-rhc-616-fr","tag-rhc-691-fr","tag-rhc-817-fr","tag-rhc-860-fr","tag-rhc-871-fr","tag-rhc-952-fr","tag-rhc-954-fr","tag-rhc-971-fr","tag-rhc-975-fr","tag-rhc1107-fr","tag-rhc1109-fr","tag-rhc1140-fr","tag-rhc1155-fr","tag-rhc1241-fr","tag-rhc1242-fr","tag-rhc1243-fr","tag-rhc1503-fr","tag-rhc1646-fr","tag-rhc1651-fr","tag-rhc1659-fr","tag-rhc1845-fr","tag-rhc1946-fr","tag-rhc2026-fr","tag-rhc2039-fr","tag-rhc204-fr","tag-rhc2040-fr","tag-rhc2129-fr","tag-rhc2193-fr","tag-rhc2209-fr","tag-rhc2210-fr","tag-rhc2231-fr","tag-rhc2232-fr","tag-rhc2321-fr","tag-rhc2425-fr","tag-rhc270-fr","tag-rhc271-fr","tag-rhc427-fr","tag-rhc607-fr","tag-rhc616-fr","tag-rhc691-fr","tag-rhc817-fr","tag-rhc860-fr","tag-rhc871-fr","tag-rhc952-fr","tag-rhc954-fr","tag-rhc971-fr","tag-rhc975-fr"],"acf":[],"yoast_head":"<!-- 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